Allegany College of Maryland Ratio of Patients to Nurses Paper

Allegany College of Maryland Ratio of Patients to Nurses Paper Allegany College of Maryland Ratio of Patients to Nurses Paper Assignment This is an independent activity which requires submission of a scholarly paper, according to the instructions below. The scholarly paper will be graded based on the Evaluation of Undergraduate Scholarly Paper rubric, which is included in this syllabus. Scholarly Paper: Using the PICOT process, analyze a current nursing practice-related legislative issue and present it in a scholarly paper. The legislative issue will be of your own choosing. The scholarly paper should be typed, double spaced, 12 point, Times New Roman using APA format, and limited to 6 pages including title and reference pages. Support your position with references from at least two peer reviewed journal reference articles. You are to formulate a Picot question and write the paper picot_paper_example.docx mrs_jackie_leadership_picot_question_.pptx leadership_rubric_for_picot_paper_.docx ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Running head: CURRENT NURSING PRACTICE-LEGISLATIVE ISSUE Current Nursing practice-related legislative issue Name of Student Name of Institution 1 CURRENT NURSING PRACTICE-LEGISLATIVE ISSUE 2 Current Nursing practice-related legislative issue In healthcare system, there are a lot of issues that warrant legislative intervention to make healthcare reliable and effective for patients. This is the reason that when nurses are studying, they put much emphasis on ethics as most of the times it is the one that guides the legislation. Also, nursing practices in the real world motivate and influence changes in regulations, laws, and policies that govern health care system. Advocacy of successful policies to guide nursing practice depends on the political will of those in the legislative arena. To understand better a current nursing practice-related legislative issue, this paper will use PICOT (Patient/population, Intervention, Comparison, Outcome, and Time) process. In spite of numerous attempts to ensure that healthcare facilities have adequate and available staffing due to patients fluctuating needs, there has been arising issues that seem to jeopardize the safety of patients. Therefore, nurses end up with a dilemma of achieving objectives of a healthcare facility and their commitment to positive nursing practice and cultural safety (Newman & Kjervik, 2016). For instance, mandatory nurse-patient ratio remains a controversial topic where federal and state government comes in to strike a balance with their legislation. Psychiatric mental health care reforms to introduce laws to govern them prove to be a challenge where it focuses on outcomes that are only performance-based. By using PICOT question to search for meaning, etiology, prognosis, diagnosis, prevention, and treatment, nurses increase productivity of evidence-based practice (EBP). This PICOT question sorts of relevant studies and locates critical evidence that assists in meeting performance of the legislation in nursing practice. CURRENT NURSING PRACTICE-LEGISLATIVE ISSUE 3 Implementation of EBP in a healthcare institution poses a series of challenges such as cognitive disorganization and cognitive integration. Also, many things are not understood using a quantitative method. PICOT comes in to get evidence that will assist in solving the clinical issue, and there should be correctly developed. American Nursing Association (ANA) states that registered nurses while on their duties should maintain professional practice and perform their responsibilities diligently and competently (Newman & Kjervik, 2016). Moreover, ANA adds that specific standards need to be adhered to strictly. It is necessary therefore that nurses get to understand legislation that is a foundation guide to their excellent practice. Legal concerns play a significant role in a healthcare facility as they assist in defining an environment which nurses practice. Both federal and state laws have an impact on nursing practice. Introduction of legislation dates back when there were numerous reports of ordinary negligence and nursing malpractice. For negligence and malpractice to occur, there must be several things that the nurse on duty did not do such as breach of duty that result in more injury to the patient. Also, there must be a proximate cause with the intention of harming a patient. The legislation then come in to check on whether nurses abuse their ethics and if they happen to do so then legal action is taken against them (Kelly, 2011). During an analysis to determine whether the nurse was negligent in their duties background and legislators ask foreground questions. Allegany College of Maryland Ratio of Patients to Nurses Paper Background questions seek to get patients’ information such as their status, disease, and condition. This type of question identifies a reason for problem development, a time the problems develops, where the problem is, and those affected by the problem. Background search results produce general information about responses, tests, conditions, and population. It is mostly based on the gender of an CURRENT NURSING PRACTICE-LEGISLATIVE ISSUE 4 individual, their diagnosis and type of treatment. This information assists in understanding an individual condition. On the other hand, PICOT format identifies critical terms that are used for an effective direct search. To develop specific search terms that will be applied in laws, it is necessary to reflect on the issue defined. Use of PICOT question is essential as it assists in defining the problem with precision and looking at it from all angles to understand its purposes and aims (Kelly, 2011). When there is no reflection on the issue, then it affects formation of foreground questions which turn out to be nonspecific. This then may result in an issue of misdiagnosis or negligence on the part of nurses when they are delivering care to their patients. Therefore, specific terms are relevant as they increase efficiency search terms that helps nurse to have more information about a diagnosis. Healthcare legislation assists nurses in identifying risks of illnesses at an early stage thereby giving ample time for patients to be given quality care. Ethics in Medicare states that negligence by medical professionals is a serious offense that may result in expulsion of the culprit and later on their prosecution. All individuals in the field of medicine ranging from a clinical officer, nurse, doctor, and pharmacist have a responsibility to ensure that they provide quality care to their patients (Deigner & Kohl, 2018). It is for this reason that they take their oath of practice and ethics seriously and they do not hesitate to follow legislation in apprehending those who do contrary. Primary emphasis on healthcare is prevention first before anything else. Therefore, in the case of misdiagnosis, it means that patients’ health is being put at more risk. Patients on their part should understand their rights when it comes to their health in a hospital. CURRENT NURSING PRACTICE-LEGISLATIVE ISSUE 5 This will enable them to seek quality care and which they also have room to seek legal redress if they find that there is negligence on the part of healthcare practitioners. PICOT questions mostly address concerns on diagnostic. Therefore, when legislators want to introduce a new law, they ought to ensure that they follow the book performance indicators and diagnostic algorithms. Assessment accuracy is vital as it measures symptoms and signs of disease (Deigner & Kohl, 2018). Diagnostic PICOT question on search results should direct nurses towards identifying strategies that will assist them in minimizing on negligence and misdiagnosis. Every result should be able to show a diagnostic assessment of the disease for an easy follow-up with legislation. To sum it up, reformation of a healthcare system emphasizes use of EBP that assists in meeting legislation performance outcomes. Therefore, it is necessary that all nurses use EBP as it helps in not only measuring their performance outcomes but also in obtaining reimbursements when it comes to current laws. Looking for evidence in healthcare practice ought to be done efficiently and quickly. Searches that are efficient usually use EBP question to focus on the final results accurately. Efficiency in EBP searches by the nurses relies on the correct use of PICOT questions that focuses on search results like meaning, prognosis, diagnosis, etiology, prevention, and treatment. EBP PILOT question when focuses and structured properly assists healthcare practitioners in collecting evidence from relevant studies that they use to draft and reform legislation of healthcare system. CURRENT NURSING PRACTICE-LEGISLATIVE ISSUE Reference Deigner, H. P., & Kohl, M. (Eds.). (2018).Allegany College of Maryland Ratio of Patients to Nurses Paper Precision Medicine: Tools and Quantitative Approaches. Academic Press. Kelly, P. (2011). Nursing leadership & management. Nelson Education. Newman, A. B., & Kjervik, D. K. (2016). Critical Care Nurses’ Knowledge of Confidentiality Legislation. American Journal of Critical Care, 25(3), 222-227. 6 1 Evidence Based Practice PICOT ? 1Transition into Professional Nursing Practice ? NURS 425 / Week 7 2 Definition Evidence Based Practice (EBP) ? According to Melynk et. Al. (2010) ? “a problem-solving approach to the delivery of health care that integrates the best evidence from studies and patient care data with clinician expertise and patient preference and values.” (p. 1) 3 What is PICOT Statement ? Carefully formulated question that encompass the acronym PICOT and the ? “T” when pertinent. 1. Identify the problem or population(P) intervention (I) 3. Comparison (C) 4. Outcome(s) (O) 5. Timeframe (T) Template for PICOT QUESTION 4 ? https://www.aaacn.org/sites/default/files/documents/miscdocs/1e_PICOT_Questions_template.pdf ? Handout in class. ? Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission 5 Definitions for Terms ? Intervention/Therapy: Questions addressing the treatment of an illness or disability. ? Etiology: Questions addressing the causes or origins of disease (i.e., factors that produce or predispose toward a certain disease or disorder). 6 Definitions for Terms Cont’ ? Diagnosis: Questions addressing the act or process of identifying or determining the nature and cause of a disease or injury through evaluation. 7 Definitions for Terms Cont’ ?Prognosis/Prediction: Questions addressing the prediction of the course of a disease. 8 Definitions for Terms Cont’ ?Meaning: Questions addressing how one experiences a phenomenon. 9 Intervention ? Intervention: In African-American female adolescents with hepatitis B (P), how does acetaminophen (I) compared to ibuprofen (C) affect liver function (O) timeframe (T)? 10 Therapy ? Therapy: In children with spastic cerebral palsy (P), what is the effect of splinting and casting(I) compared to constraintinduced therapy (C) on two-handed skill development (O)? 11 Prognosis / Prediction ? Prognosis/Prediction: 1) For patients 65 years and older (P), how does the use of an influenza vaccine (I) compared to not received the vaccine (C) influence the risk of developing pneumonia (O) during flu season (T)? 2) In patients who have experienced an acute myocardial infarction (P), how does being a smoker (I) compared to a non-smoker (C) influence death and infarction rates (O) during the first 5 years after the myocardial infarction (T)? 12 Diagnosis ? Diagnosis: In middle-aged males with suspected myocardial infarction (P), are serial 12-lead ECGs (I) compared to one initial 12-lead ECG (C) more accurate in diagnosing an acute myocardial infarction (O)? 13 Etiology ? Etiology: Are 30- to 50-year-old women (P) who have high blood pressure (I) compared with those without high blood pressure (C) at increased risk for an acute myocardial infarction (O) during the first year after hysterectomy (T)? 14 Meaning ? Meaning: How do young males (P) with a diagnosis of below the waist paralysis (I) perceive their interactions with their romantic significant others (O) during the first year after their diagnosis (T)? 15 References ? Birthale Archie, DNP, MSN, BS, RN ? Fineout-Overholt, E. Template for Asking PICOT Questions. Allegany College of Maryland Ratio of Patients to Nurses Paper Retrieved October 7, 2019, from http://www.unm.edu/~unmvclib/cascade/handouts/PICOTtemplates.pdf ? Library Guides: Evidence Based Nursing Practice: Pico(t) and Clinical Questions https://journals.lww.com/nursing/fulltext/2014/02000/To_ma ke_your_case,_start_with_a_PICOT_question.7.aspx#pdf-link https://libraryguides.missouri.edu/c.php?g=28271&p=174073 ? https://libraryguides.nau.edu/c.php?g=665927&p=4682772 ? https://journals.lww.com/nursing/fulltext/2014/02000/To_make_your_case,_sta rt_with_a_PICOT_question.7.aspx#pdf-link 1. XII. Evaluation of Scholarly Paper Rubrics: EVALUATION OF UNDERGRADUATE SCHOLARLY PAPER Student_____________________ 5 6 CRITERIA V alue % Content and Thought The content of the scholarly paper is an indicator of the thought processes used by the student in the development and execution of the assignment. The indicators of these processes are: 1. 2. 3. 4. 5. Uses relevant references. Addresses all components of assigned criteria. Synthesizes information. Applies theories and concepts. Uses logical reasoning and correct inductive or deductive reasoning. 60 Organization Structure 6. 7. 8. 9. Includes purpose in introduction. Paper is logically arranged with introduction, body, and summary. Subsections and paragraphs reflect the main idea. Transitions occur between thoughts. 15 % Earned COMMENTS Literacy and Style 10. Uses professional vocabulary. 11. Uses correct grammar, spelling, punctuation, and capitalization. 12. Maintains economy of expression. 15 APA 13. Title page is correct. 14. Page numbering is accurate. 15. Page header is appropriate. 7 4. 5. Citation of references in text is correct. ? • Direct quotes ? • Paraphrasing Reference list follows APA format. ? • Citations in text are included on reference list ? • Reference list citations are included in text Final Grade 10 100 XIII. 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